Implementation of the “Sascia Gotik” Innovation (“One Hour of Swift, Agile Nursing Response”) to Improve Patient Satisfaction at the Emergency Unit of the Arosbaya Community Health Center
DOI:
https://doi.org/10.54832/phj.v8i2.1536Keywords:
Quality of health care Community Health Center, Patient Satisfaction, Emergency Department ServicesAbstract
Background:
Patient satisfaction is one of the key indicators of healthcare quality. An increase in the bed occupancy rate (BOR), which has led to the turning away of emergency room patients at the Arosbaya Community Health Center in Bangkalan Regency, has resulted in a decline in patient satisfaction with the center’s services. The purpose of this study is to analyze the improvement in service satisfaction following the implementation of the “Sascia Gotik” innovation.
Methods:
The type of research used is Research and Development. The approach used in this study is the ADDIE Model: Analysis, Design, Development, Implementation, and Evaluation. This is a systematic instructional design framework consisting of five stages—Analyze, Design, Develop, Implement, and Evaluate—for developing high-quality learning and training products.
Results:
The results of the statistical analysis also showed a significant difference in patient satisfaction levels before and after the implementation of SASCIA GOTIK. The data indicate an increase in patient satisfaction, with some patients moving from “fairly satisfied” to “satisfied” and others from “satisfied” to “very satisfied” with the services at the Arobaya Community Health Center.
Conclusion:
The SASCIA GOTIK innovation is an effective service strategy for improving patient and community satisfaction within the Arosbaya Community Health Center’s service area. The success of this innovation is demonstrated by a statistically significant increase in satisfaction scores. An effective referral system enhances service efficiency, ensuring continuity and overall quality.
Downloads
References
Abera, B., Yasin, T., Gizaw, H., & Adem, Y. F. (2025). Quality of referral system and associated factors among referred clients referred to dessie comprehensive specialized hospital, Northeast, Ethiopia. PLOS ONE, 20(12 December). https://doi.org/10.1371/journal.pone.0337715
Akeju, D. O., Okusanya, B. O., Ukah, U. V, Orimaye, S. O., & Dirisu, O. (2023). Editorial: Policy issues and perspectives in referrals and access to quality health care services. In Frontiers in Health Services (Vol. 3). Frontiers Media SA. https://doi.org/10.3389/frhs.2023.1323442
Amáni, T. N. (2025). Analisis Pengaruh Kualitas Pelayanan, Fasilitas Dan Tingkat Kepuasan Terhadap Minat Kunjungan Ulang Untuk Berobat Di Puskesmas Watukenongo Kabupaten Mojokerto.
Asmin, N., & Sabil, F. A. (2022). Nurlin hubungan kualitas pelayanan kesehatan dengan kepuasan pasien di RSUP Dr. Tadjuddin Chalid Makassar. JIMPK: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 2(2), 280–287.
Dorji, K., Jamphel, K., Kelzang, J., Pelmo, U., Nepal, H. K., Zangpo, S., Wangdi, S., & Galey, K. (2025). Patient satisfaction in regional referral hospitals of Bhutan: Insights from a cross-sectional study. PLOS One, 20(6), e0312629. https://doi.org/10.1371/journal.pone.0312629
Gaughan, J., Kasteridis, P., Mason, A., & Street, A. (2020). Why are there long waits at English emergency departments? European Journal of Health Economics, 21(2), 209–218. https://doi.org/10.1007/s10198-019-01121-7
Ginting, A., Ginting, F., & Sijabat, H. (2025). Relationship Of Nurses’ Therapeutic Communication And Patient Satisfaction At Santa Elisabeth Hospital Medan 2024. Jurnal Keperawatan Widya Gantari Indonesia, 9(1), 17–26. https://doi.org/10.52020/jkwgi.v9i1.10670
Hartveit, M., Vanhaecht, K., Thorsen, O., Biringer, E., Haug, K., & Aslaksen, A. (2017). Quality indicators for the referral process from primary to specialised mental health care: an explorative study in accordance with the RAND appropriateness method. BMC Health Services Research, 17(1), 1–13. https://doi.org/10.1186/s12913-016-1941-1
Hidayat, F. (2024). Pengaruh Pelatihan dan Peningkatan Mutu Terhadap Kinerja. JIBEMA: Jurnal Ilmu Bisnis, Ekonomi, Manajemen, Dan Akuntansi, 2(1), 22–34. https://doi.org/10.62421/jibema.v2i1.29
Kalke, K., Studd, H., & Scherr, C. L. (2021). The communication of uncertainty in health: A scoping review. Patient Education and Counseling, 104(8), 1945–1961. https://doi.org/10.1016/j.pec.2021.01.034
Keshtkar, L., Madigan, C. D., Ward, A., Ahmed, S., Tanna, V., Rahman, I., Bostock, J., Nockels, K., Wang, W., Gillies, C. L., & Howick, J. (2024). The Effect of Practitioner Empathy on Patient Satisfaction: A Systematic Review of Randomized Trials. Annals of Internal Medicine, 177(2), 196–209. https://doi.org/10.7326/M23-2168
Masmumah, A., Suminar, E., Sari, J. E., Kesehatan, F., & Gresik, U. M. (2024). Hubungan Komunikasi Efektif Perawat dengan Kepuasan Pasien di Ruang Medina Rumah Sakit Muhammadiyah Gresik. Jurnal Keperawatan, 22(1), 12–20.
McCaffrey, R., Hale, D., Kunupakaphun, S., Kaufman, L., & Eamranond, P. (2020). A Multifaceted Approach to Improve Physician Communication Scores. Journal of Patient Experience, 7(4), 522–526. https://doi.org/10.1177/2374373519860041
Noor, H., & Ratih, W. W. (2025). Determinan Kualitas Pelayanan Kesehatan Terhadap Kepuasan Pasien Puskesmas Remaja Tahun 2024. Jurnal Kesehatan Tambusai, 6(2), 6359–6370.
Nur, M., Puteri, F., Laela, I., & nanda, R. A. (2022). Tinjauan Kepuasan Pasien Bpjs Terhadap Pelayanan Petugas Pendaftaran Rawat Jalan Di Puskesmas Kecamatan Kepulauan Seribu Utara Provinsi Dki Jakarta Tahun 2022. Jurnal Ilmiah Kedokteran Dan Kesehatan, 3(1), 89–94.
Prakoeswa, C. R. S., Hidayah, N., Dewi, A., Mutiani, F., & Masturina, M. (2023). Analysis of Patients Satisfaction Index: A Study from One of the Main Referral Hospitals in Indonesia. Universal Journal of Public Health, 11(5), 527–537. https://doi.org/10.13189/ujph.2023.110501
Prayani Azzahra, N., Rahma, G., & Rizyana, N. P. (2025). Hubungan Kualitas Pelayanan dan Fasilitas Dengan Kepuasan Pasien Rawat Jalan di Puskesmas. Jurnal Dunia Ilmu Kesehatan (JURDIKES), 3(2), 82–89. https://doi.org/10.59435/jurdikes.v3i2.589
Purwiningsih, D. D., Suryaningsih, I. B., & Wardhani, V. (2023). Pengaruh Healthcare Service Quality terhadap Kepercayaan (Trust) Melalui Kepuasan Pasien pada Puskesmas di Kabupaten Jember. Jurnal Kesehatan Komunitas, 9(3), 532–541. https://doi.org/10.25311/keskom.vol9.iss3.1559
Rathnayake, D., & Clarke, M. (2021). The effectiveness of different patient referral systems to shorten waiting times for elective surgeries: systematic review. In BMC health services research (Vol. 21, Number 1, p. 155). NLM (Medline). https://doi.org/10.1186/s12913-021-06140-w
Rawat, R., Arora, S., Sharma, S. K., & Godiyal, J. (2025). Patient Satisfaction with the Empathic Communication Skills of Nurses at a Tertiary Care Hospital, Uttarakhand. Nursing & Midwifery Research Journal, 21(1), 33–41. https://doi.org/10.1177/0974150X241299921
Samadbeik, M., Staib, A., Boyle, J., Khanna, S., Bosley, E., Bodnar, D., Lind, J., Austin, J. A., Tanner, S., Meshkat, Y., de Courten, B., & Sullivan, C. (2024). Patient flow in emergency departments: a comprehensive umbrella review of solutions and challenges across the health system. BMC Health Services Research, 24(1). https://doi.org/10.1186/s12913-024-10725-6
Sharkiya, S. H. (2023). Quality communication can improve patient-centred health outcomes among older patients: a rapid review. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09869-8
Seyed-Nezhad, M., Ahmadi, B., & Akbari-Sari, A. (2021). Factors affecting the successful implementation of the referral system. Journal of Family Medicine and Primary Care, 10(12), 4364–4375. https://doi.org/10.4103/jfmpc.jfmpc_514_21
Sukmaningsih, W. R., Widiyanto, W. W., Subekti, M. A., & Carvalho, J. G. de. (2026). Determinants of Outpatient Satisfaction Based on Health Service Quality Dimensions in Primary Health Care. Infokes: Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan, 16(1), 16–24. https://doi.org/10.47701/bmrw4f15
Sirajuddin, I. N. F., Istiqamah, N. F., Islamiati, S. D., & Rachman, H. M. (2026). SERVQUAL Outpatient Service Quality and Patient Satisfaction: Policy Implications at Puskesmas Kabanjahe. TROPHICO, 6(1), 1–10. https://doi.org/10.32734/trophico.v6i1.24650
Versluijs, Y., Lemmers, M., Brown, L. E., Gonzalez, A. I., Kortlever, J. T. P., & Ring, D. (2021). The Correlation of Communication Effectiveness and Patient Satisfaction. Journal of Patient Experience, 8. https://doi.org/10.1177/2374373521998839
Widodo, M. R., Prayoga, D., Administrasi, D., Kesehatan, K., & Masyarakat, K. (2022). Kepuasan dan Loyalitas Pasien terhadap Pelayanan di Fasilitas Kesehatan Primer: Sebuah Tinjauan Literatur. In JIIP-Jurnal Ilmiah Ilmu Pendidikan (Vol. 5). http://Jiip.stkipyapisdompu.ac.id
Wong, A., Vidal, M., Prado, B., Hui, D., Epner, M., Balankari, V. R., De La Cruz, V. J., Cantu, H. P., Zapata, K. P., Liu, D. D., Williams, J. L., Lim, T., & Bruera, E. (2019). Patients’ Perspective of Timeliness and Usefulness of an Outpatient Supportive Care Referral at a Comprehensive Cancer Center. Journal of Pain and Symptom Management, 58(2), 275–281. https://doi.org/10.1016/j.jpainsymman.2019.04.027
Zhang, X., Wang, T., Yu, Y., & Zhao, S. (2018). Key nodes affecting patient satisfaction in a cross-regional referral service process: An empirical analysis study in Sichuan. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3460-8










